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Reprocessing surgical instruments, in particular endoscopes

a surgical instrument and endoscope technology, applied in the field of endoscopes, can solve the problems of microperforation, damage in endoscope punctured by biopsy channels, enter the leak tester, etc., and achieve the effect of improving the leak tes

Active Publication Date: 2019-06-27
OLYMPUS WINTER & IBE
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  • Summary
  • Abstract
  • Description
  • Claims
  • Application Information

AI Technical Summary

Benefits of technology

The patent aims to improve the leak test in a reprocessing apparatus by automating the process and identifying leaks before reprocessing surgical instruments. The method also increases operational safety by allowing for a higher pressure differential.

Problems solved by technology

When using the endoscopes in endoscopy, damage occasionally occurs in which endoscopes are punctured by biopsy channels.
A microperforation arises that in certain circumstances is indiscernible in a performed leak test.
Water can thus penetrate the tubing by way of the ventilation and ultimately enter the leak tester and, in the worst case, destroy it.
Due to the interface that for example flexible endoscopes have for checking the leak of the endoscope sleeve and ventilating the endoscope, there is the risk of water penetrating the intact endoscope sleeve from improper handling by a user.
Moreover, leaks can arise in the endoscope channels that are not discerned at the low test pressure in the context of the leak test (about 300 mbar); however, at the higher rinsing pressures (about 1300 mbar), they allow water to penetrate into the endoscope sleeve, whereby the excess pressure in the endoscope sleeve (approximately 150 mbar) also cannot be prevented.
This can cause the endoscope to be damaged.
To the extent that there is water in a leaky endoscope, this can cause the penetrated water to be able to enter into the cleaning and disinfecting device (RDG-E) during ventilation, which also damages it.
If the pressure within the endoscope decreases by more than a predetermined amount, typically between 10 mbar to 15 mbar, the endoscope is considered leaky, and subsequent reprocessing is therefore not performed.
Moreover, in current leak test methods, an imprecision exists of reliably identifying certain types of leaks, especially direction-dependent leaks.

Method used

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  • Reprocessing surgical instruments, in particular endoscopes

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Embodiment Construction

[0029]The FIGURE shows a schematic representation of a reprocessing system 10 with a cleaning chamber 14 in which a flexible endoscope 2 is arranged that is ready to be cleaned and disinfected. The endoscope 2 comprises a handle 4 as well as a flexible shaft 6 which are both connected to connections of the reprocessing system 10.

[0030]The shaft 6 of the endoscope 2 is connected via a port to a reprocessing apparatus 30 of the reprocessing system 10, whereas the handle 4 is connected via a compressed air hose 23 with a compressed air source 22, such as a compressor, to the apparatus 20 for applying compressed air, termed a “leakage tester” for short. Like the reprocessing apparatus 30, this is connected to a controller 12 of the reprocessing system 10, which accordingly also represents a controller for the apparatus 20 for applying compressed air. The compressed air source 22 serves to provide compressed air.

[0031]At the outlet of the compressed air source 22, an air compressor senso...

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Abstract

A method for reprocessing a surgical instrument in a reprocessing apparatus, where the surgical instrument has at least one channel to be cleaned. The method including: connecting the surgical instrument to a compressed air hose for supplying compressed air to the at least one channel; supplying drying air to the compressed air hose to leak test the surgical instrument using the drying air, the drying air having less moisture content than the compressed air; and subsequent to the supplying of the drying air, reprocessing the surgical instrument using at least one cleaning liquid.

Description

CROSS-REFERENCE TO RELATED APPLICATION[0001]The present application is a continuation of PCT / EP2017 / 070660 filed on Aug. 15, 2017, which is based upon and claims the benefit to DE 10 2016 216 403.1 filed on Aug. 31, 2016, the entire contents of each of which are incorporated herein by reference.BACKGROUNDField[0002]The present disclosure relates to a method for reprocessing a surgical instrument, in particular an endoscope, such as, a flexible endoscope in a reprocessing apparatus.[0003]Furthermore, the present disclosure relates to a use of a drying apparatus of a reprocessing apparatus for surgical instruments, such as, endoscopes.Prior Art[0004]To reprocess surgical instruments, such as flexible endoscopes, normally cleaning and disinfecting devices (RDG-E) are used that are based on a chemical-thermal reprocessing procedure. In order for the endoscope to not be damaged by the cleaning liquid, it is important for the sleeve of the endoscope to be completely intact so that cleanin...

Claims

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Application Information

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IPC IPC(8): A61B1/12A61B1/00A61L2/18A61L2/24B08B3/04
CPCA61L2202/17B08B3/04A61B2090/701A61L2/18A61L2/24A61B1/125A61B1/00057A61L2202/24A61B1/123
Inventor THATE, HENNINGLENGSFELD, MICHAELFRICK, EUGEN
Owner OLYMPUS WINTER & IBE